Individual
STEPHEN CZUMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
30 HARRISON ST STE 460, JOHNSON CITY, NY 13790-2176
(607) 763-8101
(607) 763-8049
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345105
NY
Other
Enumeration date
06/17/2019
Last updated
10/22/2019
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